| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
5,885 |
5,873 |
$564K |
| 92083 |
|
2,401 |
2,400 |
$130K |
| 92250 |
|
3,000 |
2,998 |
$107K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,122 |
1,053 |
$71K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
609 |
609 |
$69K |
| 92235 |
|
526 |
461 |
$52K |
| 92273 |
|
623 |
623 |
$48K |
| 92020 |
|
2,146 |
2,144 |
$43K |
| 92226 |
|
1,125 |
823 |
$22K |
| 92133 |
|
589 |
588 |
$20K |
| 92134 |
|
467 |
460 |
$16K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
97 |
97 |
$12K |
| 92015 |
Determination of refractive state |
443 |
443 |
$9K |
| 68761 |
|
50 |
25 |
$5K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
13 |
13 |
$2K |
| 76512 |
|
19 |
13 |
$829.17 |
| 76519 |
|
14 |
14 |
$828.75 |
| 92202 |
|
70 |
69 |
$812.17 |
| 92132 |
|
26 |
26 |
$715.08 |
| 76514 |
|
70 |
70 |
$676.94 |